Osteoporosis and Silent Vertebral Fractures in Nursing Home Resident Elderly Men in Turkey

Küçükler, Ferit Kerim; Şimşek, Yasin; Turk, Ayla Çaglayan; Arduç, Ayşe; Güler, Serdar

doi:10.1016/j.jocd.2015.05.064

Cited by 10 publications

(7 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study conducted with 151 nursing home residents, Rodondi et al 4 found rates of 52% osteoporosis and 36% vertebral fracture; most fractures were reported to have occurred on the L1 and T12 vertebrae. In a controlled study by Küçükler et al, 23 conducted with men living in a nursing home, the vertebral fracture rate was found to be 42% in the nursing home group and 17% in the control group. In our study, the vertebral fracture rate was 37.5% in the NHG and 24.3% in the CG.…”

Section: Discussionmentioning

confidence: 98%

“…In our study, the number of vertebral fractures was found to be correlated with lumbar and femoral BMD in both the NHG and the CG. In an analysis carried out by Aspray et al 24 on nursing home residents with calcaneal BMD, a high fracture incidence was found to be correlated with low bone density; however, Küçükler et al 23 reported that BMD values in 75% of the patients with vertebral fracture were not osteoporotic. In predicting fracture, BMD, previous or family fracture history and many other parameters, as well as FRAX, which combines all these factors, are frequently used.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Analysis of kyphosis, vertebral fracture and bone mineral density measurement in women living in nursing homes

Türk

Şahin

Küçükler

et al. 2018

SMJ

View full text Add to dashboard Cite

Objectives:To analyze the relationship between vertebral fracture, degree of kyphosis, and BMD in women living in nursing homes.Methods:This cross-sectional study was carried out in the Department of Physical Medicine and Rehabilitation, Hitit University Hospital, Corum, Turkey, between January 2014 and January 2015. Of the 126 female patients who participated in the study, 48 lived in nursing homes (nursing-home-group [NHG]), 78 lived in non-nursing home settings (control-group [CG]). Vertebral fractures were evaluated via the semi-quantitative Genant method. Cases in which a Cobb angle measured 40 degrees or more resulted in a diagnosis of kyphosis.Results:The mean age of participants in the NHG was 77.2±7.6 years and 76.8±6.2 years in the CG (p>0.05). The kyphosis rate in the NHG was found to be higher at 52.1% compared to 27.7% for the CG (p<0.001). In the NHG, 68.7% had osteoporosis, 31.3% had osteopenia; in the CG, 55.2% had osteoporosis, 32% had osteopenia, 12.8% had normal values (p<0.05).The vertebral fracture rate was 37.5% in the NHG and 24.3% in the CG (p>0.05). The Cobb angle had correlation with the number of fractures in both groups (p<0.05).Conclusions:The osteoporosis and kyphosis rates of women living in NHG were higher than those of women living in CG. As kyphosis and the number of fractures are correlated, it is important to analyze kyphosis in women residing in NHG.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Analysis of kyphosis, vertebral fracture and bone mineral density measurement in women living in nursing homes

Türk

Şahin

Küçükler

et al. 2018

SMJ

View full text Add to dashboard Cite

show abstract

“…Vertebral compression fracture rate was higher in nursing home residents (42.2%) than the control group (17.6%), male nursing home residents seemed at a higher risk for both OP and VCF. Results also showed that, 5.6% of nursing home group and 8.9% of control group males were aware of their VCF's [11].…”

Section: Epidemiologymentioning

confidence: 89%

Vertebral compression fractures: Still an unpredictable aspect of osteoporosis

Kutsal¹,

Ergani²

2021

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…In a study conducted by Kucukler et al in the city of Corum, Turkey, an OP screening of specifically male nursing home residents and male community-dwelling adults aged ≥ 65 years was conducted using DXA and lateral thoracolumbar spine X-ray. The screening results revealed previously unknown OP in 25.3% and 8.8% of the nursing home residents and community-dwelling older adults, respectively, as well as 27.8% silent vertebral fractures (≥ 65 years) [15]. Older males are thus disregarded for OP screening in Turkey.…”

Section: Significance Of Osteoporosis and Its Burdenmentioning

confidence: 99%

The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations

et al. 2021

View full text Add to dashboard Cite

Purpose The total number of older adults in Turkey is striking, amounting to around 8 million, and this translates into considerably higher numbers of cases of osteoporosis (OP) and fractures in older adults. In this article, we outlined the current situation of OP in older adults in Turkey and investigated the differences between Turkey and a representative developed European country (Belgium), in terms of the screening, diagnosis, and treatment of OP. Our intention in this regard was to identify areas in need of improvement and subsequently to make a clear call for action to address these issues. Methods Herein, considering the steps related to the OP approach, we made a complete review of the studies conducted in Turkey and compared with the literature recommendations. Results There is a need for a national osteoporotic fracture registry; measures should be taken to improve the screening and treatment of OP in older males, such as educational activities; technicians involved in dual-energy X-ray absorptiometry (DXA) scanning should undergo routine periodic training; all DXA centers should identify center-specific least significant change values; all older adults should be considered for routine lateral dorsolumbar X-ray imaging for the screening of vertebral fractures while ordering DXA scans; the inclusion of vertebral fracture assessment (VFA) software in DXA assessments should be considered; screening using a fracture risk assessment tool (FRAX) algorithm that is specific to Turkey should be integrated; the fortification of foods with vitamin D is required; the high fracture risk by country-specific FRAX algorithm and the presence of falls/high fall risk should be integrated in reimbursement terms; and finally, more "fracture liaison services" should be established. ConclusionWe suggest that the practical consideration of our suggestions will provide considerable support to the efforts for combating with the adverse consequences of OP in society. This approach can be subsequently modeled for other populations to improve the management of OP globally. KeywordsOsteoporosis • Current situation • Turkey • Older • Improvement Abbreviations BMD Bone mineral density DXA Dual-energy X-ray absorptiometry eGFR Estimated glomerular filtration rate ESCEO Economic evaluation of osteoporosis and osteoarthritis * Gulistan Bahat

show abstract

Osteoporosis and Silent Vertebral Fractures in Nursing Home Resident Elderly Men in Turkey

Cited by 10 publications

References 30 publications

Analysis of kyphosis, vertebral fracture and bone mineral density measurement in women living in nursing homes

Analysis of kyphosis, vertebral fracture and bone mineral density measurement in women living in nursing homes

Vertebral compression fractures: Still an unpredictable aspect of osteoporosis

The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations

Contact Info

Product

Resources

About